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Search › Texas › 152W00000X

Renee Faulconer, O.D

NPI 1386822310 · on the registry since 2008 · sole proprietor

Practice

Address
4824 S Broadway Ave
Tyler, TX 75703
Phone
(903) 581-2020
Organisation at this address
Eugene D. Bennett
20/20 Icare Tyler Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas